Procedures & surgery prices at Sibley Memorial Hospital

Washington, DC · every code in this section with a posted price and a Medicare benchmark.

669 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines		 $825–$3,886 $825–$3,886 varies
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $855 $855 0.8×
Ablate Pulm Tumor Perq Crybl (32994) $7,748 $7,748 0.6×
Ablation 1/> liver tumor perq cryoablation (47383) $12,195 $12,195 1.0×
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) $13,757 $13,757 0.7×
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) $13,757 $13,757 1.6×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $10,552 $10,552 4.3×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $9,701 $9,701 4.0×
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines		 $1,806–$3,577 $1,806–$3,577 varies
Amniocentesis diagnostic (59000) $2,704 $2,704 2.5×
Amniocentesis therapeutic (59001) $5,698 $5,698 15.8×
Anoscopy diagnostic (46600) $125 $125 0.8×
Apheresis Platelets (36513) $2,566 $2,566 4.9×
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) $203 $203 1.1×
Application cast elbow finger short arm (29075) $333 $333 1.0×
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines		 $80–$528 $80–$528 varies
Application finger splint static (29130)
range across 2 matching MRF lines		 $161–$485 $161–$485 varies
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines		 $203–$723 $203–$723 varies
Application Long Leg Splint (29505) $203 $203 1.1×
Application of long leg cast (29345) $333 $333 1.0×
Application of rigid total contact leg cast (29445) $873 $873 2.6×
Application Patellar Tendon Bearing Cast (29435) $333 $333 1.0×
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines		 $161–$723 $161–$723 varies
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines		 $161–$598 $161–$598 varies
Application short leg splint calf foot (29515)
range across 2 matching MRF lines		 $203–$598 $203–$598 varies
Apply hand/wrist cast (29085) $184 $184 1.0×
Apply long arm cast (29065) $333 $333 1.0×
Apply Multlay Comprs Lwr Leg (29581) $345 $345 1.8×
Apply Short Leg Cast (29405) $333 $333 1.0×
Apply short leg cast (29425) $333 $333 1.0×
Arterial puncture (36600)
range across 2 matching MRF lines		 $161–$200 $161–$200 varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines		 $377–$826 $377–$826 varies
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,044 $1,044 1.3×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines		 $377–$912 $377–$912 varies
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $3,477 $3,477 9.6×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines		 $377–$754 $377–$754 varies
Aspirate pleura w/ imaging (32555) $2,299 $2,299 3.1×
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines		 $1,367–$2,299 $1,367–$2,299 varies
Aspiration & Injection Treatment Bone Cyst (20615) $3,100 $3,100 3.7×
Aspiration and/or injection thyroid cyst (60300) $2,095 $2,095 2.5×
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines		 $2,376–$6,518 $2,376–$6,518 varies
Avulsion nail plate partial/complete simple 1 (11730) $251 $251 1.1×
Biliary ndsc prq t-tube dilat strix w/stent (47556)
unusually low: confirm this is the full procedure		 $5,519 $5,519 0.4×
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) $4,678 $4,678 0.6×
Biopsy Abdominal Mass (49180) $2,072 $2,072 1.1×
Biopsy bone trocar/needle deep (20225) $2,802 $2,802 1.4×
Biopsy Bone Trocar/Needle Superficial (20220) $2,311 $2,311 1.2×
Biopsy External Auditory Canal (69105) $2,222 $2,222 1.2×
Biopsy external ear (69100) $557 $557 2.0×
Biopsy muscle percutaneous needle (20206) $2,073 $2,073 1.1×
Biopsy Nasopharynx Visible Lesion Simple (42804) $4,509 $4,509 1.2×
Biopsy of floor of mouth (41108) $4,595 $4,595 2.4×
Biopsy of lip (40490) $830 $830 3.0×
Biopsy of liver, needle; percutaneous (47000) $2,069 $2,069 1.1×
Biopsy of palate, uvula (42100) $3,332 $3,332 1.8×
Biopsy Oropharynx (42800) $3,522 $3,522 1.9×
Biopsy Pleura Percutaneous Needle (32400) $1,553 $1,553 0.8×
Biopsy Salivary Gland Incisional (42405) $6,972 $6,972 3.8×
Biopsy Salivary Gland Needle (42400) $1,255 $1,255 1.5×
Biopsy soft tissue neck/thorax (21550) $2,802 $2,802 1.4×
Biopsy Tongue Anterior Two-Thirds (41100) $1,233 $1,233 1.9×
Biopsy Tongue Posterior One-Third (41105) $4,493 $4,493 1.1×
Biopsy, vestibule of mouth (40808) $1,002 $1,002 1.6×
Bladder instillation anticarcinogenic agent (51720) $2,760 $2,760 3.4×
Bladder Irrigation (51700) $438 $438 1.5×
Bladder Scan (51798)
range across 2 matching MRF lines		 $271–$290 $271–$290 varies
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $6,046 $6,046 3.3×
Blepharotomy drainage abscess eyelid (67700) $366 $366 1.0×
Blood Transfusion Service (36430)
range across 21 matching MRF lines		 $352–$1,788 $352–$1,788 varies
Blood/Lymph System Procedure (38999) $1,333 $1,333 2.6×
Bone Marrow Biopsy (38221) $2,041 $2,041 1.0×
Bone Marrow; Aspiration Only (38220) $2,059 $2,059 1.1×
Bronchoscopy W/Biopsy(S) (31625) $3,964 $3,964 1.9×
Bx breast 1st lesion mr imag (19085) $3,604 $3,604 1.8×
Bx breast 1st lesion strtctc (19081) $4,708 $4,708 2.4×
Bx breast 1st lesion us imag (19083) $4,298 $4,298 2.2×
Bx/exc lymph node open superficial (38500) $19,917 $19,917 4.3×
Canthotomy Separate Procedure (67715) $7,775 $7,775 2.8×
Catheter aspiration nasotracheal spx (31720) $312 $312 1.2×
Cessj Therapy Cath Removal (37214) $7,654 $7,654 2.1×
Change Cystostomy Tube Simple (51705) $438 $438 1.5×
Change of Windpipe Airway (31502) $443 $443 1.6×
Chemical Cautery Tissue (17250) $597 $597 2.5×
Chemical Pleurodesis (32560) $1,613 $1,613 2.2×
Chemodenerv 1 extrem 5/> mus (64644) $1,191 $1,191 1.4×
Chemodenerv 1 extremity 1-4 (64642) $1,191 $1,191 1.4×
Chemodenerv Musc Migraine (64615) $2,488 $2,488 6.9×
Chemodenerv musc neck dyston (64616) $1,423 $1,423 3.9×
Chemodenerv Parotid&Submandibl Salivary Glnds (64611) $1,757 $1,757 4.8×
Chemodenerv trunk musc 1-5 (64646) $1,191 $1,191 1.4×
Chemodenerv trunk musc 6/> (64647) $1,191 $1,191 1.4×
Chemodenervation Muscle Larynx Unilat W/Emg (64617) $2,488 $2,488 3.0×
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $2,488 $2,488 6.9×
Chest tube placement (32551)
range across 2 matching MRF lines		 $2,012–$4,124 $2,012–$4,124 varies
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) $4,049 $4,049 1.6×
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) $7,205 $7,205 1.7×
Chorionic Villus Sampling (59015) $3,445 $3,445 3.2×
Cl Tx Scapular Fx; W Manip (23575) $1,984 $1,984 1.0×
Cl Tx Tib Shft Fx W Manip (27752) $1,984 $1,984 1.0×
Clear outer ear canal (69200) $161 $161 1.0×
Closed Rx Spontaneous Hip Disloc (27256) $287 $287 1.0×
Closed treatment of ulnar shaft fracture; with manipulation (25535) $233 $233 0.8×
Closed tx ankle dislocation w/o anesthesia (27840) $287 $287 1.0×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $1,986 $1,986 1.0×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $287 $287 1.0×
Closed tx carpal scaphoid fracture w/manj (25624) $1,943 $1,943 1.0×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $283 $283 1.0×
Closed Tx Femoral Fracture Prox Head W/Manj (27268) $417 $417 0.2×
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $287 $287 1.0×
Closed tx knee dislocation w/o anesthesia (27550) $287 $287 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $286 $286 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) $1,923 $1,923 1.0×
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) $18,344 $18,344 4.7×
Closed tx patellar dislocation w/o anesthesia (27560) $287 $287 1.0×
Closed Tx Patellar Fracture W/O Manipulation (27520) $287 $287 1.0×
Closed tx radial head/neck fx w/manipulation (24655) $1,989 $1,989 1.0×
Closed tx radial head/neck fx w/o manipulation (24650) $287 $287 1.0×
Closed tx radial shaft fracture w/manipulation (25505) $1,989 $1,989 1.0×
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) $287 $287 1.0×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $1,989 $1,989 1.0×
Closed tx radial&ulnar shaft fractures w/o man (25560) $287 $287 1.0×
Closed Tx Scapular Fracture W/O Manipulation (23570) $287 $287 1.0×
Closed tx talus fracture w/o manipulation (28430) $287 $287 1.0×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $287 $287 1.0×
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $1,975 $1,975 1.0×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $287 $287 1.0×
Closed tx ulnar shaft fracture w/o manipulation (25530) $339 $339 1.2×
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) $289 $289 1.0×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $2,589 $2,589 4.1×
Clsd tx clavicular fracture w/o manipulation (23500) $287 $287 1.0×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $413 $413 1.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $287 $287 1.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $1,988 $1,988 1.0×
Cltx Carpal Bone Fx W/Manj Each Bone (25635) $1,969 $1,969 1.0×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $287 $287 1.0×
Cltx dstl fibular fx lat malls w/manj (27788) $287 $287 1.0×
Cltx dstl fibular fx lat malls w/o manj (27786) $287 $287 1.0×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $286 $286 1.0×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $287 $287 1.0×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $287 $287 1.0×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines		 $199–$1,988 $199–$1,988 varies
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $287 $287 1.0×
Cltx Fem Fx Prox End Nck W/O Manj (27230) $287 $287 1.0×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,487 $1,487 0.8×
Cltx fx grt toe phlx/phlg w/manj (28495) $287 $287 1.0×
Cltx fx grt toe phlx/phlg w/o manj (28490) $287 $287 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $287 $287 1.0×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $287 $287 1.0×
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $8,599 $8,599 4.5×
Cltx Greater Trochanteric Fx W/O Manj (27246) $287 $287 1.0×
Cltx hip dislocation traumatic req anesthesia (27252) $6,705 $6,705 3.5×
Cltx hip dislocation traumatic w/o anesthesia (27250) $287 $287 1.0×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $287 $287 1.0×
Cltx humeral condylar fx medial/lateral w/manj (24577) $1,989 $1,989 1.0×
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) $287 $287 1.0×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $1,750 $1,750 0.9×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $287 $287 1.0×
Cltx iphal jt dislc w/manj w/o anes (26770) $287 $287 1.0×
Cltx Medial Ankle Fx (27760) $287 $287 1.0×
Cltx metacarpal fx w/manipulation each bone (26605) $283 $283 1.0×
Cltx metacarpal fx w/o manipulation each bone (26600) $287 $287 1.0×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $287 $287 1.0×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $287 $287 1.0×
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines		 $287–$1,981 $287–$1,981 varies
Cltx prox fibula/shft fx w/manj (27781) $1,878 $1,878 1.0×
Cltx prox fibula/shft fx w/o manj (27780) $287 $287 1.0×
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $1,953 $1,953 1.0×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $287 $287 1.0×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $287 $287 1.0×
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) $1,989 $1,989 1.0×
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines		 $286–$3,007 $286–$3,007 varies
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $284 $284 1.0×
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $287 $287 1.0×
Cltx tibial fx proximal w/o manipulation (27530) $284 $284 1.0×
Cltx tibial shaft fx w/o manipulation (27750) $287 $287 1.0×
Cltx trimalleolar ankle fx w/manipulation (27818) $1,986 $1,986 1.0×
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines		 $161–$185 $161–$185 varies
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines		 $10–$39 $10–$39 varies
Colporrhaphy (57200) $5,869 $5,869 1.5×
Control Nasal Hemorrhage Anterior Complex (30903) $189 $189 1.2×
Control Nasal Hemorrhage Anterior Simple (30901) $161 $161 1.0×
Control oropharyngeal hemorrhage simple (42960) $633 $633 1.0×
Conversion ext bil drg cath (47535) $21,063 $21,063 5.0×
Convert Nephrostomy Catheter (50434) $2,436 $2,436 1.0×
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $2,311 $2,311 1.2×
Create Eardrum Opening (69433) $1,503 $1,503 2.4×
Cryosurgical Ablation Fibroadenoma, Each (19105) $4,708 $4,708 1.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $161 $161 1.0×
Curettage postpartum (59160) $2,965 $2,965 0.8×
Cysto w/insert ureteral stent (52332) $3,355 $3,355 0.8×
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $6,084 $6,084 1.5×
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) $3,912 $3,912 0.9×
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines		 $806–$1,011 $806–$1,011 varies
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $3,498 $3,498 1.0×
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) $900 $900 1.1×
Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) $10,085 $10,085 4.4×
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines		 $805–$9,292 $805–$9,292 varies
Debride nail 1-5 (11720) $80 $80 1.1×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines		 $2,067–$9,292 $2,067–$9,292 varies
Debridement Mastoidectomy Cavity Cmplx (69222) $1,560 $1,560 2.4×
Debridement Mastoidectomy Cavity Simple (69220) $883 $883 3.7×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $518–$9,292 $518–$9,292 varies
Declot vascular device (36593)
range across 2 matching MRF lines		 $462–$638 $462–$638 varies
Delivery of placenta (59414)
range across 2 matching MRF lines		 $991–$3,921 $991–$3,921 varies
Destr W Neurolytic; Celiac Plexus (64680)
range across 3 matching MRF lines		 $3,316–$8,944 $3,316–$8,944 varies
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines		 $3,327–$4,984 $3,327–$4,984 varies
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines		 $1,877–$4,878 $1,877–$4,878 varies
Diagnostic sigmoidoscopy (45330) $1,704 $1,704 1.6×
Dilat Xst Trc New Access Rcs (50437) $2,878 $2,878 0.7×
Dilate Esophagus 1/Mult Pass (43450) $2,474 $2,474 2.3×
Dilation Salivary Duct (42650) $2,222 $2,222 1.2×
Drain Cerebro Spinal Fluid (62272) $1,420 $1,420 1.7×
Drain Spinal Cord Cyst (62268) $1,610 $1,610 1.5×
Drain/inj small joint/bursa w/us (20604) $745 $745 2.1×
Drainage external auditory canal abscess (69020) $4,058 $4,058 4.9×
Drainage external ear abscess/hematoma cmplx (69005) $7,981 $7,981 4.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $900 $900 1.1×
Drainage Finger Abscess Complicated (26011) $2,079 $2,079 1.1×
Drainage Mouth Roof Lesion (42000) $1,919 $1,919 6.9×
Drainage of finger abscess simple (26010) $251 $251 1.1×
Drainage of gum lesion (41800) $161 $161 1.0×
Drainage of hematoma/fluid (10140) $2,050 $2,050 1.1×
Drainage of nose lesion (30000) $693 $693 2.5×
Drainage of perirenal or renal abscess, open Facility (50020) $17,923 $17,923 7.3×
Drainage of scrotal wall abscess (55100) $2,072 $2,072 1.1×
Draw Blood Off Venous Device (36591)
range across 2 matching MRF lines		 $161–$1,077 $161–$1,077 varies
Drg privesical/prevesical space absc (51080) $5,341 $5,341 1.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $517 $517 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $306 $306 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $306 $306 1.3×
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines		 $1,353–$2,994 $1,353–$2,994 varies
Dx Bone Marrow Bx & Aspir (38222) $3,531 $3,531 1.0×
Dx Bronchoscope/Lavage (31624) $3,396 $3,396 1.6×
Dx Bronchoscope/Wash (31622) $3,344 $3,344 1.6×
Dx Laryngoscopy Excl Nb (31525) $1,667 $1,667 0.8×
Dx lmbr spi pnxr w/fluor/CT (62328) $5,447 $5,447 6.5×
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) $5,243 $5,243 2.3×
Egd Endoscopic Stent Place (43266) $21,168 $21,168 3.0×
Egd Flexible Foreign Body Removal (43247) $1,582 $1,582 1.5×
Egd guide wire insertion (43248) $3,418 $3,418 3.2×
Egd place gastrostomy tube (43246) $6,836 $6,836 3.0×
Endoven abltj incmptnt vein xtr rf 1st vein (36475) $15,871 $15,871 4.3×
Endoven ther chem adhes 1st (36482) $19,138 $19,138 2.9×
Epidural Blood Patch (62273)
range across 4 matching MRF lines		 $1,191–$2,280 $1,191–$2,280 varies
Escharotomy; initial incision (16035) $518 $518 1.1×
Evacuation of subungual hematoma (11740) $161 $161 1.0×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $900 $900 1.1×
Exc Frenum Labial/Buccal (40819) $6,252 $6,252 3.4×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) $2,079 $2,079 1.1×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $9,380 $9,380 4.8×
Exc Thrombosed Hemorrhoid Xtrnl (46320) $1,499 $1,499 1.1×
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $6,062 $6,062 1.8×
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $21,063 $21,063 5.0×
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) $3,449 $3,449 1.4×
Exchange Transfusion (36455) $1,624 $1,624 3.1×
Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) $1,573 $1,573 0.7×
Excis Mouth Mucosa/Sub,Simpl Repair (40812) $5,786 $5,786 3.2×
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) $5,426 $5,426 6.5×
Excision Lesion Tongue W/O Closure (41110) $4,980 $4,980 1.3×
Excision Lingual Frenum Frenectomy (41115) $4,517 $4,517 2.5×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $3,456 $3,456 4.1×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $4,184 $4,184 5.0×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $2,041 $2,041 4.3×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $6,009 $6,009 7.2×
Excision nasal polyp(s) simple (30110) $4,020 $4,020 2.2×
Excision of sublingual salivary cyst (ranula) (42408) $13,378 $13,378 3.4×
Excision soft tissue lesion, external auditory canal (69145) $4,747 $4,747 1.4×
Explo/Drain Breast Abscess (19020) $3,237 $3,237 1.7×
Exploration penetrating wound spx extremity (20103) $2,068 $2,068 1.1×
External cephalic version (59412) $2,969 $2,969 0.8×
Fetal Fluid Drainage W/Ultrasound Guidance (59074) $2,114 $2,114 5.9×
Fetal non-stress test (59025) $1,188 $1,188 5.0×
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $6,525 $6,525 7.8×
Fine needle aspiration bx w/mr gdn 1st lesion (10011) $1,850 $1,850 2.2×
Fine needle aspiration without imaging guidance (10021) $518 $518 1.1×
Fluoro exam of g/colon tube (49465) $1,137 $1,137 4.0×
Fna Bx W/Fluor Gdn 1St Les (10007) $1,796 $1,796 2.1×
Fna bx w/us gdn 1st les (10005) $2,922 $2,922 3.5×
Foreskin manipulation (54450) $811 $811 2.7×
Guide Cathet Fluid Drainage (10030) $775 $775 0.9×
Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) $17,079 $17,079 5.2×
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines		 $289–$1,090 $289–$1,090 varies
I&d abscess simple (10060)
range across 2 matching MRF lines		 $250–$2,255 $250–$2,255 varies
I&d deep absc bursa/hematoma thigh/knee region (27301) $3,513 $3,513 1.0×
I&D Deep Absc/Hematoma Neck/Chest (21501) $4,770 $4,770 1.4×
I&d perianal abscess superficial (46050) $1,152 $1,152 1.0×
I&d pilonidal cyst complicated (10081) $900 $900 1.1×
I&d pilonidal cyst simple (10080) $900 $900 1.1×
I&d shoulder deep abscess/hematoma (23030) $3,465 $3,465 1.0×
I&d upper arm/elbow deep abscess/hematoma (23930) $3,546 $3,546 1.0×
Icd Pocket Revision (33223) $1,974 $1,974 0.8×
Image Cath Fluid Colxn Visc (49405) $7,137 $7,137 3.7×
Image Cath Fluid Peri/Retro (49406) $7,228 $7,228 3.7×
Image Cath Fluid Trns/Vgnl (49407) $2,373 $2,373 1.2×
Implant neuroelectrodes (63650)
range across 2 matching MRF lines		 $5,325–$18,774 $5,325–$18,774 varies
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $5,539 $5,539 0.5×
Incise external hemorrhoid (46083) $299 $299 1.0×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $517–$2,328 $517–$2,328 varies
Incision & drainage leg/ankle abscess/hematoma (27603) $3,535 $3,535 1.0×
Incision & removal foreign body subq tiss compl (10121) $2,074 $2,074 1.1×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $269–$517 $269–$517 varies
Incision and drainage of bartholin's gland abscess (56420) $638 $638 2.7×
Incision and drainage of vulva or perineal abscess (56405) $638 $638 1.8×
Incision of eardrum (69420) $1,428 $1,428 5.1×
Incision of labial frenum (frenotomy) (40806) $744 $744 1.2×
Incision of lingual frenum (frenotomy) (41010) $3,376 $3,376 1.8×
Incision of rectal abscess (46040)
range across 2 matching MRF lines		 $611–$1,499 $611–$1,499 varies
Incision&Drainage Upper Arm/Elbow Bursa (23931) $1,562 $1,562 0.8×
Incisional biopsy skin single lesion (11106) $1,347 $1,347 1.5×
Initial Tx 1st Degree Burn Local Tx (16000) $251 $251 1.1×
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines		 $1,181–$4,483 $1,181–$4,483 varies
Inj W/Fluor Eval Cv Device (36598) $324 $324 1.3×
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines		 $1,353–$1,527 $1,353–$1,527 varies
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines		 $377–$659 $377–$659 varies
Injection aa&/strd intercostal nrv ea addl lvl (64421) $1,527 $1,527 1.5×
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) $1,527 $1,527 1.8×
Injection Anes Agent Sphenopalatine Ganglion (64505) $1,527 $1,527 4.2×
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines		 $2,648–$3,969 $2,648–$3,969 varies
Injection anesthetic agent suprascapular nerve (64418) $1,967 $1,967 2.4×
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines		 $1,061–$1,593 $1,061–$1,593 varies
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines		 $377–$856 $377–$856 varies
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines		 $377–$1,036 $377–$1,036 varies
Injection Sinus Tract Therapeutic Separate Proc (20500) $2,615 $2,615 1.4×
Injection, anesthetic agent; brachial plexus, single (64415) $4,483 $4,483 4.3×
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines		 $887–$2,284 $887–$2,284 varies
Injection, anesthetic agent; vagus nerve (64408) $1,527 $1,527 4.2×
Injection, intralesional; up to and including 7 lesions (11900) $353 $353 1.5×
Ins cath ren art 1st bilat (36252) $3,204 $3,204 0.9×
Ins cath ren art 1st unilat (36251) $2,923 $2,923 0.8×
Ins cath ren art 2nd+ bilat (36254) $3,204 $3,204 0.9×
Ins cath ren art 2nd+ unilat (36253) $4,357 $4,357 0.7×
Ins endovas vena cava filtr (37191) $8,589 $8,589 1.3×
Ins Vag Brachytx Device (57156) $4,805 $4,805 13.3×
Ins/Rep Subq Defibrillator (33270) $28,240 $28,240 0.8×
Insert 1 Electrode Pm-Defib (33216) $7,150 $7,150 0.7×
Insert Bladder Cath Complex (51703) $201 $201 1.3×
Insert cath pleura w/ image (32557) $2,311 $2,311 1.2×
Insert Gastrostomy Tube Percutaneous (49440) $5,131 $5,131 2.3×
Insert Heart Pm Atrial (33206) $7,433 $7,433 0.6×
Insert Heart Pm Ventricular (33207) $7,433 $7,433 0.6×
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure		 $5,405 $5,405 0.2×
Insert non-tunnel cv cath (36556) $3,963 $3,963 1.1×
Insert Pacing Lead & Connect (33224) $9,124 $9,124 0.7×
Insert pessary/other device (57160) $638 $638 2.7×
Insert pulse gen dual leads (33213) $6,850 $6,850 0.6×
Insert pulse gen mult leads (33221)
unusually low: confirm this is the full procedure		 $10,318 $10,318 0.5×
Insert Pulse Gen Sngl Lead (33212) $6,248 $6,248 0.6×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $161–$323 $161–$323 varies
Insert tissue expander(s) (11960) $19,763 $19,763 4.7×
Insert tun ip cath perc (49418) $5,711 $5,711 1.4×
Insert tunneled cv cath (36561) $17,043 $17,043 4.6×
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $161–$991 $161–$991 varies
Insertion indwelling tunneled pleural catheter (32550) $12,125 $12,125 2.9×
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,592 $3,592 1.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $5,334 $5,334 0.5×
Insertion Tunnel Intraperitoneal Cath Dial Open (49421) $3,409 $3,409 0.8×
Insertion Uterine Tandem&/Vaginal Ovoids (57155) $3,981 $3,981 0.7×
Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) $5,925 $5,925 0.6×
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) $3,981 $3,981 1.1×
Insj prph ctr vad w/subq port age 5 yr/> (36571) $19,678 $19,678 5.3×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines		 $1,713–$4,099 $1,713–$4,099 varies
Insj Subq Impltbl Dfb Elctrd (33271) $5,334 $5,334 0.5×
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $7,436 $7,436 2.0×
Insj/Rplcmt Defib W/Lead(S) (33249) $28,240 $28,240 0.8×
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) $18,231 $18,231 0.5×
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $9,128 $9,128 0.9×
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) $8,054 $8,054 0.8×
Insrt heart pm atrial & vent (33208) $9,124 $9,124 0.7×
Insrt Pulse Gen W/Dual Leads (33230) $22,636 $22,636 0.9×
Insrt Pulse Gen W/Mult Leads (33231) $22,636 $22,636 0.6×
Intranasal Biopsy (30100) $2,222 $2,222 1.2×
Intro cath dialysis circuit (36901) $17,176 $17,176 9.2×
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $17,176 $17,176 1.3×
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) $17,176 $17,176 2.6×
Intro Gastrointestinal Tube (44500) $3,184 $3,184 3.0×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $294–$313 $294–$313 varies
Irrigation maxillary sinus (31000) $1,278 $1,278 4.6×
Irrigation of corpora cavernosa for priapism (54220) $438 $438 1.5×
Labyrinthotomy Transcanal (69801) $2,682 $2,682 1.5×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $22,775 $22,775 3.2×
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $13,010 $13,010 3.0×
Laryngoscope Injection Vocal Cord Therapeutic (31570) $13,010 $13,010 3.0×
Laryngoscopy diagnostic (31505) $695 $695 2.9×
Laryngoscopy exc tum&/stripping cords/epiglott (31540) $13,010 $13,010 3.0×
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $11,404 $11,404 2.6×
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines		 $273–$675 $273–$675 varies
Laryngoscopy flexible rmvl lesion(s) non-laser (31578) $9,281 $9,281 2.1×
Laryngoscopy Flexible Therapeutic Injection Uni (31573) $4,026 $4,026 1.9×
Laryngoscopy Flexible W/Biopsy(Ies) (31576) $2,988 $2,988 1.4×
Laryngoscopy Flexible W/Injection Agmntj Uni (31574) $4,026 $4,026 1.9×
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $1,410 $1,410 3.1×
Laryngoscopy W/Biopsy (31535) $11,951 $11,951 2.7×
Laryngoscopy w/wo tracheoscopy aspiration (31515) $1,316 $1,316 2.8×
Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) $16,498 $16,498 4.4×
Lip Surgery Procedure (40799) $394 $394 1.4×
Low Back Disk Surgery (63030) $6,812 $6,812 0.8×
Lyse chest fibrin init day (32561) $757 $757 1.0×
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $10,834 $10,834 5.8×
Mech remov tunneled cv cath (36595) $10,883 $10,883 2.9×
Middle ear surgery proc unlisted (69799) $394 $394 1.4×
Multifetal Pregnancy Reduction (59866) $1,056 $1,056 2.9×
Myelography Lumbar Injection (62305) $5,097 $5,097 5.5×
Myelography Lumbar Injection (62304) $4,050 $4,050 4.4×
Myelography via lumbar injection rs&i cervical (62302) $4,248 $4,248 4.6×
Myelography Via Lumbar Injection Rs&I Thoracic (62303) $5,371 $5,371 5.8×
Myringoplasty (69620) $18,919 $18,919 4.8×
N Block Inj Celiac Pelus (64530) $2,994 $2,994 2.9×
N Block Inj Ilio-Ing/Hypogi (64425) $1,527 $1,527 1.8×
N block inj intercost sng (64420) $1,527 $1,527 1.8×
N Block Inj Pudendal (64430) $2,410 $2,410 2.3×
N Block Lumbar/Thoracic (64520) $1,527 $1,527 1.5×
Nasal Endoscopy Dx (31231) $695 $695 2.9×
Nasal/Orogastric W/Tube Plmt (43752) $564 $564 1.1×
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) $1,599 $1,599 3.5×
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) $18,458 $18,458 2.2×
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) $4,026 $4,026 1.9×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $4,026 $4,026 1.9×
Needle Biopsy Lymph Nodes (38505) $2,048 $2,048 1.0×
Needle Biopsy Pancreas (48102) $3,741 $3,741 1.9×
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) $5,104 $5,104 2.2×
Njx anes stellate ganglion crv sympathetic (64510) $1,527 $1,527 1.5×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines		 $377–$1,527 $377–$1,527 varies
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,396 $4,396 1.0×
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) $3,755 $3,755 0.9×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines		 $2,096–$3,383 $2,096–$3,383 varies
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) $6,064 $6,064 5.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) $5,447 $5,447 6.5×
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) $1,527 $1,527 1.8×
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) $2,143 $2,143 2.1×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) $6,064 $6,064 5.8×
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) $5,447 $5,447 6.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) $2,143 $2,143 2.1×
Njx Noncmpnd Sclrsnt 1 Vein (36465) $9,962 $9,962 4.1×
Njx Noncmpnd Sclrsnt Mlt Vn (36466) $9,962 $9,962 4.1×
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) $2,777 $2,777 3.4×
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) $2,777 $2,777 3.4×
Njx Sclrsnt 1 Incmptnt Vein (36470) $1,981 $1,981 4.1×
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,981 $1,981 4.1×
Njx Sclrsnt Spider Veins (36468) $1,143 $1,143 2.4×
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) $24,357 $24,357 2.9×
Obstructive material removal from gi tube (49460) $1,853 $1,853 1.7×
Occipital Nerve Block (64405) $1,527 $1,527 4.2×
Open treatment of nasal septal fracture, with or without stabilization Facility (21336) $6,685 $6,685 1.7×
Open Tx Distal Phalangeal Fracture Each (26765) $4,027 $4,027 1.0×
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) $4,750 $4,750 1.2×
Open/Perq Place Stent 1St (37236) $10,883 $10,883 0.8×
Open/Perq Place Stent Same (37238) $10,883 $10,883 0.8×
Orbitotomy W/O Bone Flap W/Removal Lesion (67412) $11,462 $11,462 4.1×
Partial Excision Distal Phalanx Finger (26236) $1,980 $1,980 1.0×
Partial removal of toe (28160) $4,984 $4,984 1.3×
Partical Excision Bone Phalanx Toe (28124) $3,049 $3,049 0.8×
Perc Cryo Ablate Renal Tum (50593) $17,542 $17,542 1.4×
Perc Rf Ablate Renal Tumor (50592) $13,066 $13,066 1.8×
Percut Ablate Liver Rf (47382) $12,110 $12,110 1.7×
Percut Drain/Inject Renal Cyst (50390) $2,296 $2,296 2.7×
Percut Mech Thrombectomy, Venous, Repeat (37188) $11,655 $11,655 3.1×
Pericardiocentesis W/Imaging (33016) $8,567 $8,567 4.6×
Perq Cervicothoracic Inject (22510) $7,585 $7,585 2.0×
Perq dev breast 1st mr guide (19287) $2,128 $2,128 2.5×
Perq dev breast 1st strtctc (19283) $3,233 $3,233 3.9×
Perq dev breast 1st us imag (19285) $2,821 $2,821 3.4×
Perq device breast 1st imag (19281) $2,072 $2,072 1.1×
Perq dilation xst trc endourologic px w/img (50436) $2,768 $2,768 0.7×
Perq Lumbosacral Injection (22511) $4,746 $4,746 1.2×
Perq Radiofreq Ablation Tx, Pul Tumor (32998) $10,848 $10,848 1.5×
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $17,176 $17,176 1.3×
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $17,176 $17,176 2.6×
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $7,955 $7,955 0.9×
Perq Vertebral Augmentation (22513) $7,955 $7,955 0.9×
Phleb Veins - Extrem 20+ (37766) $14,219 $14,219 3.8×
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines		 $4,732–$7,090 $4,732–$7,090 varies
Place Cath Thoracic Aorta (36221) $4,732 $4,732 1.3×
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines		 $7,740–$11,598 $7,740–$11,598 varies
Place Rt Device/Marker Pros (55876) $5,867 $5,867 3.6×
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines		 $521–$1,309 $521–$1,309 varies
Plmt Bile Duct Stent Prq Existing Access (47538) $29,815 $29,815 4.2×
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) $21,063 $21,063 2.9×
Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) $21,063 $21,063 2.9×
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) $4,425 $4,425 1.8×
Plmt Nephroureteral Catheter (50433) $4,425 $4,425 1.1×
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $6,974 $6,974 1.7×
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) $6,974 $6,974 1.7×
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,974 $6,974 1.7×
Prim art mech thrombectomy (37184) $16,344 $16,344 0.8×
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $3,853 $3,853 4.6×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $29,815 $29,815 7.0×
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $29,815 $29,815 7.0×
Pseudoaneurysm Injection Trt (36002) $1,861 $1,861 2.5×
Punch biopsy skin single lesion (11104) $1,347 $1,347 2.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $505 $505 1.1×
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines		 $890–$1,024 $890–$1,024 varies
Puncture shunt tube/reservoir aspiration/inj px (61070) $4,170 $4,170 5.0×
Reconstruct lip with flap (40525) $18,344 $18,344 4.7×
Relocation Pocket Pacemaker (33222) $1,956 $1,956 0.8×
Rem Endovas Vena Cava Filter (37193) $9,727 $9,727 2.6×
Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) $7,430 $7,430 6.9×
Removal Embedded Foreign Body Eyelid (67938) $334 $334 0.9×
Removal Foreign Body Foot Subcutaneous (28190) $900 $900 1.1×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $4,303 $4,303 2.2×
Removal impacted cerumen irrigation/lvg unilat (69209) $214 $214 3.1×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $80 $80 1.1×
Removal implantable contraceptive capsules (11976) $3,296 $3,296 3.9×
Removal of foreign body from pharynx (42809) $523 $523 1.0×
Removal of nail bed (11750) $166 $166 0.3×
Removal of tunneled intraperitoneal catheter (49422) $4,702 $4,702 1.3×
Removal ppm generator only (33233) $6,528 $6,528 0.7×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $250 $250 1.1×
Removal subcutaneous cardiac rhythm monitor (33286) $885 $885 1.1×
Removal/bivalving gauntlet boot/body cast (29700) $859 $859 2.6×
Remove Elctrd Transvenously (33244) $3,032 $3,032 0.7×
Remove foreign body from eye (65205) $373 $373 2.4×
Remove Intrauterine Device (58301) $638 $638 1.8×
Remove intrvas foreign body (37197) $2,848 $2,848 0.8×
Remove lung catheter (32552) $2,656 $2,656 3.6×
Remove Nasal Foreign Body (30300) $161 $161 1.0×
Remove Pulse Generator (33241) $3,898 $3,898 0.9×
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines		 $1,050–$1,570 $1,050–$1,570 varies
Remove ureter stent percut (50384) $3,449 $3,449 1.4×
Remove&replace pm gen singl (33227) $6,248 $6,248 0.6×
Remv&replc cvd gen dual lead (33263) $22,636 $22,636 0.9×
Remv&replc cvd gen mult lead (33264) $22,636 $22,636 0.6×
Remv&replc cvd gen sing lead (33262) $22,636 $22,636 0.9×
Remv&replc pm gen dual lead (33228) $6,850 $6,850 0.6×
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure		 $9,507 $9,507 0.4×
Renal Biopsy Perq (50200) $2,843 $2,843 1.5×
Repair Blood Vessel Direct Hand Finger (35207) $9,161 $9,161 2.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $806 $806 0.9×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $806 $806 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $517 $517 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $806 $806 1.7×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $804 $804 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $806 $806 1.7×
Repair complex trunk 1.1-2.5 cm (13100) $2,873 $2,873 3.3×
Repair complex trunk 2.6-7.5 cm (13101) $804 $804 0.9×
Repair extensor tendon finger w/o graft each (26418) $1,961 $1,961 1.0×
Repair Finger/Hand Tendon (26350) $3,882 $3,882 1.0×
Repair Hand Tendon (26410) $1,957 $1,957 1.0×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $518 $518 1.1×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $518 $518 1.1×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $518 $518 1.1×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $518 $518 1.1×
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $806 $806 0.9×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $518 $518 1.1×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $518 $518 1.1×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $806 $806 0.9×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $518 $518 1.1×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $517 $517 1.1×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $518 $518 1.1×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $806 $806 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $517 $517 1.1×
Repair lead pace-defib dual (33220) $4,647 $4,647 1.1×
Repair Lead Pace-Defib One (33218) $3,324 $3,324 0.8×
Repair of nail bed (11760) $801 $801 0.9×
Repair of windpipe defect (31825) $18,357 $18,357 4.7×
Repair Tendon Extensor Foot 1/2 Each Tendon (28208) $3,427 $3,427 0.9×
Repair tongue laceration (41252) $218 $218 0.8×
Repair tongue laceration (41250) $523 $523 1.0×
Replace G-J Tube Perc (49452) $2,255 $2,255 2.1×
Replace g/c tube perc (49450) $2,136 $2,136 2.0×
Replantation digit complete (20822) $7,725 $7,725 4.1×
Repos Previously Implanted Subq Implantable Dfb (33273) $4,258 $4,258 1.0×
Reposition Gastrostomy Tube (43761)
range across 2 matching MRF lines		 $290–$2,004 $290–$2,004 varies
Reposition L Ventric Lead (33226) $2,855 $2,855 0.8×
Reposition Pacing-Defib Lead (33215) $3,449 $3,449 0.9×
Reposition Venous Catheter (36597) $1,736 $1,736 0.9×
Revise knuckle joint (26530) $10,285 $10,285 1.2×
Revision of tracheostomy scar (31830) $9,718 $9,718 2.5×
Revj Transvns Intrahepatic Portosystemic Shunt (37183) $8,138 $8,138 1.2×
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688)
range across 2 matching MRF lines		 $2,966–$8,685 $2,966–$8,685 varies
Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) $11,326 $11,326 1.6×
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines		 $3,449–$5,173 $3,449–$5,173 varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $473 $473 0.9×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $146 $146 0.9×
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) $475 $475 0.9×
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines		 $3,573–$4,964 $3,573–$4,964 varies
Rmvl of subq implantable defibrillator electrode (33272) $4,636 $4,636 1.1×
Rmvl Previously Implted Ithcl/Edrl Cath (62355) $4,225 $4,225 1.8×
Rmvl spinal nstim eltrd prq array incl fluor (63661) $5,772 $5,772 2.5×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,552 $3,552 1.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,232 $1,232 1.7×
Rplc Gtube No Revj Trc (43762) $638 $638 2.2×
Rplc gtube revj gstrst trc (43763) $638 $638 2.2×
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) $4,006 $4,006 2.2×
Rplcmt compl tun ctr vad w/subq port (36582) $14,707 $14,707 3.9×
Rplcmt compl tun cvc w/o subq port/pmp (36581) $7,334 $7,334 2.0×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $247 $247 1.0×
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $289 $289 1.0×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $634 $634 1.0×
Rpr Lip Full Thickness Vermilion Only (40650) $2,643 $2,643 4.1×
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) $6,062 $6,062 3.3×
Sclerotx Fluid Collection (49185) $6,917 $6,917 3.5×
Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) $6,276 $6,276 1.6×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $251 $251 1.1×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $251 $251 1.1×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $251 $251 1.1×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $251 $251 1.1×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $251 $251 1.1×
Skin sub graft trnk/arm/leg (15271) $1,987 $1,987 2.3×
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines		 $5,833–$7,094 $5,833–$7,094 varies
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines		 $4,732–$7,090 $4,732–$7,090 varies
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines		 $7,740–$11,598 $7,740–$11,598 varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $250 $250 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $518 $518 1.1×
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $518 $518 1.1×
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines		 $893–$1,110 $893–$1,110 varies
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $14,219 $14,219 3.8×
Strapping ankle (29540)
range across 2 matching MRF lines		 $203–$485 $203–$485 varies
Strapping elbow or wrist (29260)
range across 2 matching MRF lines		 $80–$598 $80–$598 varies
Strapping hand/finger (29280)
range across 2 matching MRF lines		 $80–$598 $80–$598 varies
Strapping Hip (29520) $161 $161 1.0×
Strapping knee (29530)
range across 2 matching MRF lines		 $161–$485 $161–$485 varies
Strapping shoulder (29240)
range across 2 matching MRF lines		 $161–$598 $161–$598 varies
Strapping toes (29550)
range across 2 matching MRF lines		 $80–$368 $80–$368 varies
Strapping Unna Boot (29580)
range across 2 matching MRF lines		 $203–$316 $203–$316 varies
Thaw preserved stem cells (38208) $2,468 $2,468 4.7×
Ther Apheresis W/Extracorporeal Immunoadsorption (36516) $22,992 $22,992 4.5×
Ther Apheresis,Red Blood Cells (36512) $7,927 $7,927 4.3×
Ther Spi Pnxr Csf Fluor/Ct (62329) $5,447 $5,447 6.5×
Therapeutic Apheresis White Blood Cells (36511) $7,927 $7,927 4.3×
Therapeutic plasma exchange (36514) $7,927 $7,927 4.3×
Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) $12,053 $12,053 1.8×
Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) $14,163 $14,163 2.2×
Thrmbc/Nfs Dialysis Circuit (36906) $17,176 $17,176 0.8×
Thromblytic art/ven therapy (37213) $7,654 $7,654 2.1×
Thrombolytic Art Therapy (37211) $3,667 $3,667 0.6×
Thrombolytic Venous Therapy (37212) $3,431 $3,431 0.9×
Thyroid biopsy (60100) $1,294 $1,294 1.5×
Tooth extraction (41899) $890 $890 3.2×
Tprnl Plmt Biodegrdabl Matrl (55874) $18,323 $18,323 2.9×
Tracheobrnchsc Thru Est Trachs Inc (31615) $873 $873 1.4×
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) $1,074 $1,074 3.0×
Transcatheter biopsy (37200) $4,695 $4,695 0.7×
Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) $4,524 $4,524 1.2×
Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) $11,000 $11,000 1.7×
Treat ectopic pregnancy (59151) $9,552 $9,552 1.3×
Treat Finger Fracture Each (26727) $8,210 $8,210 2.1×
Treat humerus fracture (24500) $287 $287 1.0×
Treat Humerus Fracture (24505) $1,979 $1,979 1.0×
Treat humerus fracture (23600) $287 $287 1.0×
Treat Knuckle Dislocation (26700) $287 $287 1.0×
Treat Metatarsal Fracture (28475) $287 $287 1.0×
Treat Tail Bone Fracture (27200) $287 $287 1.0×
Treat Thumb Dislocation (26641) $287 $287 1.0×
Treat toe dislocation (28630) $287 $287 1.0×
Treatment Closed Elbow Dislocation Req Anes (24605) $4,717 $4,717 2.5×
Treatment closed elbow dislocation w/o anes (24600) $287 $287 1.0×
Trluml Balo Angiop 1St Art (37246) $17,176 $17,176 2.6×
Trluml Balo Angiop 1St Vein (37248) $17,176 $17,176 2.6×
Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) $5,085 $5,085 9.8×
Trnspl Prepj Hematop Progen Concentration Plsm (38215) $4,809 $4,809 9.2×
Trnsplj autologous hematopoietic cells per donor (38241) $6,220 $6,220 3.4×
Tx Gastro Intub W/Asp (43753) $905 $905 3.5×
Tx Superficial Wound Dehiscence Simple Closure (12020) $799 $799 0.9×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $1,989 $1,989 1.0×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $287 $287 1.0×
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines		 $203–$485 $203–$485 varies
Unlisted Procedure Muscskeletal System General (20999) $796 $796 2.7×
Unlisted Procedure Tongue Floor Mouth (41599) $7,695 $7,695 27.5×
Unlisted Procedure Vascular Surgery (37799) $14,219 $14,219 19.2×
Unlisted Px Salivary Glands/Ducts (42699) $557 $557 2.0×
Upgrade of pacemaker system (33214) $9,124 $9,124 0.7×
Vasc embolize/occlude artery (37242) $16,344 $16,344 0.8×
Vasc Embolize/Occlude Bleed (37244) $16,344 $16,344 1.2×
Vasc Embolize/Occlude Organ (37243) $16,344 $16,344 1.2×
Vasc embolize/occlude venous (37241) $16,344 $16,344 1.2×
Venous Cutdown >1 Y/O (36425) $523 $523 1.0×
Venous Mech Thrombectomy (37187) $11,651 $11,651 0.9×
Wash harvest stem cells (38209) $2,195 $2,195 4.2×
Wedge excision skin nail fold (11765) $518 $518 1.1×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.